License holder summary

Tod Richard Fawcett is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Tod Richard Fawcett is TRI-STATE FAMILY DENTAL CTR, 800 1ST AVENUE, EVANSVILLE IN 47710. This licensed professional license is not current. The license was granted 11/25/1986 and expired on 03/01/1992.

Indiana

Professional Licensing Agency

Tod Richard Fawcett
Controlled Substance Registration - Dentist
License number
12008854B
Date granted
11/25/1986
Date expires
03/01/1992
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
TRI-STATE FAMILY DENTAL CTR, 800 1ST AVENUE, EVANSVILLE IN 47710
indianalicensing.org
ID 5093005
LAST UPDATED 2024-02-21 14:48:36 UTC

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